Beacon Behavioral Health Northshore INC
NPI #1215929211 in Mandeville, Louisiana
Provider Information
- NPI Number
- 1215929211
- Entity Type
- Organization
- Organization Name
- Beacon Behavioral Health Northshore INC
- Primary Specialty
- Clinic/Center - Mental Health (Including Community Mental Health Center)
- Enumeration Date
- Aug 17, 2005
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 820 ASBURY DR
- City
- Mandeville
- State
- Louisiana
- ZIP Code
- 70471
- Phone
- (985) 727-6090
Authorized Official
- Name
- EARL J WILDE III
- Title
- CHAIRMAN OF THE BOARD
- Phone
- (225) 810-4040
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center) |
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